Page 13 - The Beauty and Sorrow in Endodontics (Chapter 4 - Part 2)
P. 13

Case 46


            Even with a microscope, early cracks or root fracture are hard to



            discover





















                 Fig 46A                                         Fig 46B
                 Fractured  palatal  cusp  visible  on  tooth    The patient reported high stress level at

                 # 15. The referring dentist diagnosed the       work  and  has  broken  multiple  occlusal
                 patient with bruxism and had given him          appliances  in  the  past.  45  lingual  cusp
                                                                                         #
                 an occlusal appliance for protection.           fracture visible.


















                  Fig 46C                                        Fig 46D

                  12 years ago – Tooth  17 presented with        10 years ago – Tooth  27 was suspected
                                      #
                                                                                      #
                  cracked tooth syndrome, an ortho band          to have a crack; endodontic treatment
                  was  applied  at  that  time  with             was completed first for pain relief.

                  subsequent  endodontic  treatment  and
                  crown  coverage;  the  patient  has  been
                  asymptomatic since.
                                                                                                              46
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